OPEN ENROLLMENT

	This page last modified: Wednesday, December 28, 2011 Current Openings > Application Process > Application Form Benefits: > Eligibility > Health Benefits:    - COBRA    - HIPAA    - Health Rights Act    - Cancer Rights Act > Retirement    - Deferred Comp > Other Benefits:    - Flexible Spending    - Supplemental Insurance    - Personal Accident Insurance    - SBC Credit Union    - Employee Assistance (EAP)    - Transit & Parking > Leave Benefits > Benefits Forms > Benefits Contacts	OPEN ENROLLMENT for 2012 HAS ENDED All enrollment selections will take effect January 1, 2012. This is your last chance until January 2013, unless you have a qualifying event, to change your medical, dental or vision coverage or to add qualified dependents. This is also the time to enroll in the Health Care and Dependent Care Flexible Spending Accounts (FSA), even if you are already participating. You must enroll again each year to remain in the plan. If you don’t re-enroll, your contributions will stop in pay period 1-2012. Benefit deductions premiums for 2012 will begin in payperiod 2012-2 New FSA deductions for 2012 will begin in payperiod 2012-1 Superior Court Human Resources staff and Alliant representatives will be available to answer your questions, distribute plan materials and help you enroll. Santa Maria Santa Barbara Lompoc November 16, 2011 Department 2 8:15am –9:45am 3:30pm - 5:00pm November 15, 2011 Jury Assembly Bldg 8:15am –9:45am 3:30pm - 5:00pm November 16, 2011 Lunch Room 12:30pm - 1:30pm Santa Barbara County Superior Court takes pride in offering a benefits program that provides flexibility for the diverse and changing needs of our employees. The Court has worked diligently to provide you with an array of insurance options consistent with the quality and accessibility you have come to expect at the lowest possible insurance premiums. Santa Barbara Superior Court will continue to offer the Blue Shield Low Option EPO, High Option EPO, PPO and High Deductible Health Plan (HDHP). The Preventive Care benefit has been enhanced to be “no charge” on the Low Option EPO and High Option EPO plans and at the in-network benefit level on the PPO plan. The HDHP medical plan will remain the same with no benefit changes. There is a slight increase on the medical premiums and no premium increases on the dental and vision plans. NEW FOR OPEN ENROLLMENT 2012: ONLINE ENROLLMENT! Online Enrollment Changes – You can make all of your Medical, Dental and Vision benefits selection changes online by going to the Court’s custom enrollment website at https://www.workterra.net/web/login.aspx. Be prepared before enrolling by having your personal information with you such as Dependents' Social Security numbers, birthdates and addresses. Online Enrollment Login Instructions HR staff will be available to assist you if you encounter any problems. Stephanie x4545 Carlos x6698 Cheli x4762 Velia x4715 Lisa x4739 If you have questions but are unable to attend a meeting, please contact Care Counsel (888-227-3334) or Superior Court Human Resources. MEDICAL, DENTAL AND VISION Check your Medical, Dental and Vision plan benefits and covered dependents. If you want to change plans or if a dependent is not enrolled now and you want them to be covered, you must do so now or wait until January 2013, unless you have a "qualified change in status." To review your current plan selections you can visit the Employee Self Service (ESS) intranet site or https://www.workterra.net/web/login.aspx. We encourage ALL employees to visit the workterra site to verify that your plan selections and covered dependents are correct. If you are currently enrolled in one of the Blue Shield plans, a Golden West dental plan or the VSP plan and want to continue your current coverage, you do not need to do anything; your current elections will roll-over. Rates and Additional Information 2012 Premium Rates 2012 Premium Rates for Part Time Employees: 50% FTE 60% FTE 62.5% FTE 75% FTE 80% FTE 87.5% FTE 2012 Medical Plan Comparison Chart Eligibility for Benefits Additional Information Regarding Your Benefits Rules for Benefits Changes During the Year MEDICAL Medical Plan Provider – for more information including providers: Blue Shield – www.blueshield.com/csac Pharmacy Carrier - Medco will continue to be your pharmacy provider for retail and mail order prescriptions for all EPO and PPO plans. Blue Shield is the Pharmacy Provider for the High Deductible Health Plan (HDHP). EPO PLAN 2012 Blue Shield EPO (Exclusive Provider Organization): Under the EPO plan, the network of contracted physicians and hospitals are known as Preferred Providers. Under an EPO plan, you do not have an assigned Primary Care Physician (PCP). You are allowed to access medical services from any Blue Shield in-network PPO physician, specialist or facility without having to obtain a referral. All covered services, except for Emergency Care, must be provided by a Preferred Provider. The EPO plan does not provide out-of-network benefits. Low EPO Benefit Summary Low EPO Quick Summary Medco Low EPO Prescription Summary High EPO Benefit Summary High EPO Quick Summary Medco High EPO Prescription Summary PPO PLAN 2012 Blue Shield PPO (Preferred Provider Organization): The PPO plan is designed to provide choice, two levels of service, and flexibility. Participants may go directly to any physician without a referral and have a choice of using preferred (PPO/in-network) or non-preferred (non-PPO/out-of-network) providers. Generally, there are annual deductibles to meet before benefits apply. Participants are also responsible for a certain percentage of the charges (co-insurance), and the plan pays the balance up to the agreed upon amount. PPO Benefit Summary PPO Quick Summary Medco PPO Prescription Summary   HIGH DEDUCTIBLE 2012 Blue Shield HDHP (High Deductible Health Plan): The HDHP plan provides choice and two levels of service; in-network and out-of-network. The HDHP plan uses the Blue Shield national PPO networks so you have a choice of using in-network preferred providers or any out-of-network physician that you choose. There are no copayments; only co-insurance with coverage for in-network providers at a higher benefit level and lower cost to you. This plan has a higher annual deductible that must be met before it begins to pay the appropriate co-insurance amount. An H.S.A. (Health Savings Account) is available to you if you are enrolled in a HDHP plan. An H.S.A. account allows you to contribute using pre-tax dollars and the funds roll over and accumulate year to year if not spent. H.S.A. funds can be used to pay any qualified medical expenses. This type of health savings account is owned by you and is portable. If you decide to terminate the HDHP plan, you will no longer be able to deposit new funds into the H.S.A. account, but funds already in the H.S.A. will remain available for your use. HDHP Benefit Summary HDHP PPO Quick Summary HEALTH SAVINGS ACCOUNT (HSA) Health care savings accounts may only be used in conjunction with the High Deductible PPO health plan. An HSA allows individuals to pay for qualified health expenses and save for future medical and retiree health expenses on a tax-free basis.  It is owned by you and is “portable” so if you leave the Court employment, your HSA stays with you.  The Court will contribute $900 per calendar year ($34.62 bi-weekly) to your HSA while you are enrolled in the High Deductible PPO health plan. During open enrollment, find out if a Health Savings Account (HSA) is right for you. Additional info can be found at: http://www.sbcourts.org/hr/benefits/health/medical.asp DENTAL CHANGES FOR 2012 The Court’s dental coverage will continue through Golden West. Employees will have the choice between the HMO Pacesetter and the PPO Unicare National PPO (formerly True Advantage) plans. 2012 Dental Premiums Dental Comparison Chart   GOLDEN WEST PPO: Basic services on the DPPO plan will be increased to pay at a 90% benefit level for in-network services. For Major services, the out-of-network co-insurance will be 50%. The Orthodontia benefit will be 50% for both in and out-of-network, with an increase to $1,500 on the lifetime maximum amount. Golden West PPO Overview WorkTerra / WorkTerra Log in Instructions     GOLDEN WEST PACESETTER: The Orthodontia benefit on the HMO Pacesetter plan has been enhanced such that your total cost has been reduced to $1,795 for both Children and Adults. The diagnostic charge has also been eliminated for both Children and Adults. Golden West Pacesetter Overview Golden West Pacesetter Fee Schedule WorkTerra / WorkTerra Log in Instructions VISION Vision Plan Benefit Summary 2012 Vision Premiums More Choice and Convenience with VSP® Vision Care You’ll have more eyecare providers to choose from with VSP. Finding the right eyecare provider for you is important to your eye health and overall wellness. That’s why, you can choose to see any eyecare provider—a VSP doctor, retail chain affiliate (including Costco), or any other provider. Using your VSP benefit is easy. Whether you choose to see a VSP doctor or a retail chain affiliate using your vision coverage is simple and convenient. Find an eyecare provider who’s right for you. To find a VSP doctor or an affiliate provider, visit vsp.com or call 800.877.7195. Review your benefit information. Visit vsp.com to review your plan coverage along with the details about how your coverage differs with retail chain affiliates and other providers. At your appointment, tell them you have VSP. There’s no ID card necessary. That’s it. VSP will handle the rest—there are no claim forms to complete when you see a VSP doctor or retail chain affiliate. Plus, VSP has made getting your benefit information and finding a doctor easier and more convenient through your Smartphone. Once your coverage is effective, register and log on to vsp.com. You’ll be able to access information on the go—when you need it—from your computer or smart phone: View personalized benefit information, including eligibility Find a VSP doctor or an affiliate provider, including maps, office hours, and contact information Download/print your personalized member vision card FLEXIBLE SPENDING ACCOUNTS This is the time to enroll in the Health Care and Dependent Care Flexible Spending Accounts, even if you are already participating. You must enroll again each year to remain in the plan. If you don’t re-enroll, your contributions will stop in pay period 1-2012. Over-the-Counter (OTC) Drugs and medicines:  as of January 1, 2011, your FSA can not reimburse you for OTC drugs and medicines (other than insulin) without a doctor’s prescription.  OTC drugs/medicines can no longer be reimbursed through your FSA. Flexible Spending Account HealthCare Reform OTC Information FSA Direct Deposit Form 2012 ACCOUNT LIMITS: Healthcare spending = $7,500/year Dependent care = $5,000/year Transit = $230/month Parking = $230/month Flexible Spending Account Enrollment Form 2012 Flexible Spending Account Direct Deposit Form 2012 Transportation & Parking Account 2012 Transportation & Parking Enrollment/Change Form 2012 Additional info can be found at:  2012 FSA Information 2012 SUPPLEMENTAL LIFE AND PERSONAL ACCIDENT INSURANCE (PAI) The Court offers two different ways to plan for life's changes; Supplemental life and Personal Accident Insurance. Both of which can be part of a comprehensive financial plan. Supplemental Life and AD&D Information 2012 Life, LTD & Accident Insurance Enrollment Form Request for Change Form Beneficiary Designation Form Evidence of Insurability SUPPLEMENTAL LIFE For you Life insurance can be purchased for yourself in amounts from $10,000 to $500,000 in $10,000 increments, not to exceed 5 times your annual salary. Supplemental Accidental Death and Dismemberment coverage in the amount of $10,000 is included. While actively at work, benefit amounts reduce to 65% at age 65. Coverage is portable, if you change jobs or retire, you can keep your coverage until age 70. Evidence of insurability must be supplied for any amount of coverage. For your spouse If you are covered for Supplemental Life, you may apply for spousal coverage from $5,000 to $250,000 in $5,000 increments. Spouse coverage may not exceed 50% of the total amount of your Supplemental Life coverage. Evidence of insurability must be supplied for any amount of coverage. For your Children If you are covered for Supplemental Life, you may apply for child life coverage in the amount of $5,000. This benefit is limited to $1,000 for children in the first six months of life. Evidence of insurability must be supplied for any amount of coverage. Additional info can be found at: http://www.sbcourts.org/hr/benefits/misc/ins/sup.asp SUPPLEMENTAL PERSONAL ACCIDENT For you Coverage amounts from $25,000 to $300,000 not to exceed 10 times your annual salary. Benefit reduced by 65% at age 65. Benefit ceases at retirement. For your family Spouse coverage amount equal to 50% of employee coverage. Child coverage is equal to 10% of employee amount. Additional information can be found at: http://www.sbcourts.org/hr/benefits/misc/ins/pai.asp ADDITIONAL INFORMATION: 2012 CareCounsel: HealthCare Advocacy Program 2012 Employee Assistance Program (EAP) 2012 HIPAA: Health Insurance Portability & Accountability Act 2012 Prescription Drug Coverage and Medicare 2012 HealthCare Reform Disclosures 2012 CHIP: Medicaid and the Children’s Health Insurance Program Offer Free or Low-Cost Health Coverage to Children and Families 2012 Active Employee Benefit Plan Summary: Plan Year January 1, 2012 – December 31, 2012 This page last modified: 11/7/2011 The information in this summary is not intended to take the place of, or change the official Plan Documents or Summary Plan Description. In the event that the information in this summary differs from the Plan Document, the Plan Document shall prevail.
		Web Site Feedback © 2000-2011 Santa Barbara County Superior Court